Its an issue from a business perspective because billing one client when you can't bill another isn't something a t is likely to do.

Where I see my pdoc there is a "telephone consultation fee" of $265, but for a 5 minute phone call he's not going to charge that. Now I suppose if there is a client who calls excessively, he could charge the fee, and that seems fair. But again thats subjective and depending on the therapist means different things. It also depends on the client and what their expectations are. But since a t is a medical provider, it doesn't seem fair for a client who pays out of pocket to receive different treatment than one who uses insurance.